Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GROVER NICODEMUS STREET
NPI 1831672831
Registered Nurse in Lone Tree, CO

Q: What is Grover Street's NPI number?

The NPI number for Grover Street is 1831672831. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Q: What is Grover Street's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Grover Street was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2018

10240 PARK MEADOWS DR, LONE TREE, CO 80124(303) 338-4545 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Sep 14, 2018 (2 updates tracked since 2018).

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About Grover Nicodemus Street NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GROVER NICODEMUS STREET (NPI 1831672831) is an individual registered nurse in Lone Tree, Colorado, licensed in Colorado (0168533) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1831672831

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameGROVER NICODEMUS STREET

Location Address10240 PARK MEADOWS DRLone Tree, CO 80124-5425

Mailing Address1 Red Fox LnLittleton, CO 80127-5710 · (307) 421-8332

Phone(303) 338-4545

Sole ProprietorNo

Enumeration DateSeptember 14, 2018

Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration

✔ NPI 1831672831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

Licenses✔ Licensed in CO · 0168533✔ Licensed in CO · RN0168533

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

10240 PARK MEADOWS DR, Lone Tree, CO 80124

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWYNNE I BAERNS RN

Registered Nurse